Strukturen des menschlichen Miteinander - auf dem Weg zum Anderen : dialogische Ansätze vor dem Hintergrund von Robert Musils Roman ´Der Mann ohne Eigenschaften´

Diese Ausarbeitung zeigt Strukturen des menschlichen Miteinander im Rahmen einer systematisch-komparatistischen Annäherung ´auf dem Weg zum Anderen´ vor dem Hintergrund von Musils Roman ´Der Mann ohne Eigenschaften´ auf; sie verweist auf die Gefahren des zunehmend selbstzentrierten Identitätsdenkens, indem sie mit Blick auf den Anfang des 20. Jahrhunderts eine Auswahl philosophischer Denker aus dieser Zeit auf Grundlage einer poetischen Orientierung in ein Gespräch geführt, das damals in Wirklichkeit leider nicht stattgefunden hat: Ulrich, der Protagonist des Romans, übernimmt in dieser Ausarbeitung neben der poetisch-orientierenden Funktion die Rolle des Begleiters; er leitet den Leser durch die Arbeit und verbindet ´auf dem Weg zum Anderen´ philosophische Richtungen mit Musils Roman. Mit der Metapher vom ´Konflikt der beiden Bäume´, den Ulrich in sich bemerkt, beginnt der ´Weg zum Anderen´: Unter beiden Bäumen wird menschlichem Miteinander nachgespürt,indem phänomenologische Ansätze dargestellt, analysiert und komparatistisch betrachtet werden. Der ´Baum des harten Gewirrs´ steht für distanziertes Erkennen; Husserls Intentionalität und Intersubjektivität führen in ein ´Konzert einsamer Monaden´. Der ´Baum der Schatten und Träume´ - repräsentiert durch Klages - steht für verschmelzend mystisch-pathisches Erleben, das Menschen ebenfalls isoliert. Eine Verbindung der beiden Bäume erfolgt in der ´Begegnung zwischen den Bäumen´ im menschlichen Miteinander von Ulrich und seiner Schwester Agathe; hier gedeiht – um im Bild zu bleiben – der ´Baum des Lebens´ auf dem Boden der ´Notwendigkeit des Du für das Ich´. Dieser Baum wird vorgestellt hinsichtlich seiner Verwurzelung: Ansätze Feuerbachs, Diltheys und Plessners verweisen auf Gemeinschaftlichkeit, Geschichtlichkeit und Exzentrizität des Menschen. Daran schließt sich die Analyse der Struktur des Baumes an: Hier verweist Löwiths Ansatz auf die im Menschen angelegte ontologisch-konstitutionelle Zweideutigkeit. In der Krone des ´Lebensbaumes´ suchen die Dialogiker Buber, Rosenzweig und Rosenstock-Huessy nach Gleichursprünglichkeit in der ´Sphäre des Zwischen´ und beschreiten den Weg von der Menschwerdung in der ´Sphäre des Zwischen´ zu einer gelebten voraussetzungsvollen Mitmenschlichkeit im Horizont gesprochener Sprache. Komparatistische Betrachtungen offenbaren divergierende Tendenzen, die im Resümee verdichtet aufgezeigt werden: Unter philosophisch-inhaltlichem Aspekt wird dargestellt, warum Menschen ´unter beiden Bäumen´ in einsamer Beschränktheit und Endlichkeit verharren, während sie in ´Begegnung zwischen den Bäumen´ - im menschlichen Miteinander - Freiheit und Unendlichkeit erlangen: ´Haltung versus Eingebundenheit´ entscheidet über isoliertes oder gelingendes Leben. Unter philosophisch-kulturwissenschaftlichem Aspekt werden Spuren in Musils Roman ´Der Mann ohne Eigenschaften´ aufgedeckt, die vermuten lassen, Musil habe über seinen Roman Dialogisches Denken ´inkognito´ vermitteln wollen; die darin erweckte Sehnsucht nach menschlichem Miteinander gilt es, im Leben zu verantworten – zwischen Menschen, konkret und immer wieder...

Multicentre validation study of nucleic acids extraction from FFPE tissues

In most pathology laboratories worldwide, formalin-fixed paraffin embedded (FFPE) samples are the only tissue specimens available for routine diagnostics. Although commercial kits for diagnostic molecular pathology testing are becoming available, most of the current diagnostic tests are laboratory-based assays. Thus, there is a need for standardized procedures in molecular pathology, starting from the extraction of nucleic acids. To evaluate the current methods for extracting nucleic acids from FFPE tissues, 13 European laboratories, participating to the European FP6 program IMPACTS (www.impactsnetwork.eu), isolated nucleic acids from four diagnostic FFPE tissues using their routine methods, followed by quality assessment. The DNA-extraction protocols ranged from homemade protocols to commercial kits. Except for one homemade protocol, the majority gave comparable results in terms of the quality of the extracted DNA measured by the ability to amplify differently sized control gene fragments by PCR. For array-applications or tests that require an accurately determined DNA-input, we recommend using silica based adsorption columns for DNA recovery. For RNA extractions, the best results were obtained using chromatography column based commercial kits, which resulted in the highest quantity and best assayable RNA. Quality testing using RT-PCR gave successful amplification of 200 bp-250 bp PCR products from most tested tissues. Modifications of the proteinase-K digestion time led to better results, even when commercial kits were applied. The results of the study emphasize the need for quality control of the nucleic acid extracts with standardised methods to prevent false negative results and to allow data comparison among different diagnostic laboratories.

Genome-wide association study of intracranial aneurysm identifies three new risk loci

Saccular intracranial aneurysms are balloon-like dilations of the intracranial arterial wall; their hemorrhage commonly results in severe neurologic impairment and death. We report a second genome-wide association study with discovery and replication cohorts from Europe and Japan comprising 5,891 cases and 14,181 controls with approximately 832,000 genotyped and imputed SNPs across discovery cohorts. We identified three new loci showing strong evidence for association with intracranial aneurysms in the combined dataset, including intervals near RBBP8 on 18q11.2 (odds ratio (OR) = 1.22, P = 1.1 x 10(-12)), STARD13-KL on 13q13.1 (OR = 1.20, P = 2.5 x 10(-9)) and a gene-rich region on 10q24.32 (OR = 1.29, P = 1.2 x 10(-9)). We also confirmed prior associations near SOX17 (8q11.23-q12.1; OR = 1.28, P = 1.3 x 10(-12)) and CDKN2A-CDKN2B (9p21.3; OR = 1.31, P = 1.5 x 10(-22)). It is noteworthy that several putative risk genes play a role in cell-cycle progression, potentially affecting the proliferation and senescence of progenitor-cell populations that are responsible for vascular formation and repair.

Activation of sphingosine kinase 2 is an endogenous protective mechanism in cerebral ischemia

The two ubiquitously expressed sphingosine kinases (SphK) 1 and 2 are key regulators of the sphingolipid signaling pathway. Despite the formation of an identical messenger, i.e. sphingosine 1-phosphate (S1P), they exert strikingly different functions. Particularly, SphK2 is necessary for the phosphorylation of the sphingosine analog fingolimod (FTY720), which is protective in rodent stroke models. Using gene deficient mice lacking either SphK1 or SphK2, we investigated the role of the two lipid kinases in experimental stroke. We performed 2h transient middle cerebral artery occlusion (tMCAO) and analyzed lesion size and neurological function after 24h. Treatment groups received 1mg/kg FTY720. Neutrophil infiltration, microglia activation, mRNA and protein expression of SphK1, SphK2 and the S1P(1) receptor after tMCAO were studied. Genetic deletion of SphK2 but not SphK1 increased ischemic lesion size and worsened neurological function after tMCAO. The protective effect of FTY720 was conserved in SphK1(-/-) mice but not in SphK2(-/-) mice. This suggests that SphK2 activity is an important endogenous protective mechanism in cerebral ischemia and corroborates that the protective effect of FTY720 is mediated via phospho-FTY720.

Intellectual outcome, motor skills and BMI of children with congenital hypothyroidism: a population-based study

AIM: To evaluate intellectual outcome, motor skills and anthropometric data of children with congenital hypothyroidism (CH). METHODS: Children with permanent CH who were born in 1999 in Bavaria were eligible for this prospective, population-based study. Cognitive performance was evaluated by the Kaufman Assessment Battery for Children and motor skills were assessed by the motor test, Motoriktest für vier-bis sechsjahrige Kinder (MOT) 4-6. RESULTS: Eighteen of 21 eligible children participated (86%). Median age of the children was 5.5 years (range 4.9-5.8). Treatment with levothyroxine was started after a median of 7.2 days (range 4-15) with a median dose of 12.0 microg/kg (range 7.2-17.0). Mean intelligence quotient (IQ) of the children was 100.4 (standard deviation [SD] 10.1): no children had IQ values below the normal range. Reactivity and speed of movement were significantly reduced in children with CH. Children with an initial thyroid-stimulating hormone (TSH) value of >200 mU/L performed significantly worse than children with TSH value of

Die Stellung der Juden im Staate : ein Wort zu seiner Zeit ; Vortrag

geh. ... von E. Plessner

Dat Mosheh ṿi-yehudit oder Jüdisch-Mosaischer Religionsunterricht für die israelitische Jugend : ein für den öffentlichen, auch Privat- und Selbstunterricht sich eignendes Lehrbuch der Hauptreligionswahrheiten und Lehren des Judenthums

bearb. und auf dringendes Verlangen hrsg. von Salomon Plessner

Trauungsreden für Israeliten

gehalten u. hrsg. von Salomon Pleßner

Confirmationsreden für die Israelitische Jugend

gehalten u. hrsg. von Salomon Pleßner

Stellung und Bedeutung der israelitischen Frau bei den Hebräern, nach dem "Eschet-Chajil-Liede" : eine Betrachtung zur Abendunterhaltung

Vortrag geh. ... von E. Plessner

Der Geldhandel der deutschen Juden während des Mittelalters bis zum Jahre 1350 : ein Beitrag zur deutschen Wirtschaftsgeschichte im Mittelalter

Moses Hoffmann

Multidisciplinary consensus on assessment of unruptured intracranial aneurysms: proposal of an international research group.

BACKGROUND AND PURPOSE To address the increasing need to counsel patients about treatment indications for unruptured intracranial aneurysms (UIA), we endeavored to develop a consensus on assessment of UIAs among a group of specialists from diverse fields involved in research and treatment of UIAs. METHODS After composition of the research group, a Delphi consensus was initiated to identify and rate all features, which may be relevant to assess UIAs and their treatment by using ranking scales and analysis of inter-rater agreement (IRA) for each factor. IRA was categorized as very high, high, moderate, or low. RESULTS Ultimately, 39 specialists from 4 specialties agreed (high or very high IRAs) on the following key factors for or against UIA treatment decisions: (1) patient age, life expectancy, and comorbid diseases; (2) previous subarachnoid hemorrhage from a different aneurysm, family history for UIA or subarachnoid hemorrhage, nicotine use; (3) UIA size, location, and lobulation; (4) UIA growth or de novo formation on serial imaging; (5) clinical symptoms (cranial nerve deficit, mass effect, and thromboembolic events from UIAs); and (6) risk factors for UIA treatment (patient age and life expectancy, UIA size, and estimated risk of treatment). However, IRAs for features rated with low relevance were also generally low, which underlined the existing controversy about the natural history of UIAs. CONCLUSIONS Our results highlight that neurovascular specialists currently consider many features as important when evaluating UIAs but also highlight that the appreciation of natural history of UIAs remains uncertain, even within a group of highly informed individuals.

Predigten

Hrsg. von Elias Pleßner

The unruptured intracranial aneurysm treatment score: a multidisciplinary consensus.

OBJECTIVE We endeavored to develop an unruptured intracranial aneurysm (UIA) treatment score (UIATS) model that includes and quantifies key factors involved in clinical decision-making in the management of UIAs and to assess agreement for this model among specialists in UIA management and research. METHODS An international multidisciplinary (neurosurgery, neuroradiology, neurology, clinical epidemiology) group of 69 specialists was convened to develop and validate the UIATS model using a Delphi consensus. For internal (39 panel members involved in identification of relevant features) and external validation (30 independent external reviewers), 30 selected UIA cases were used to analyze agreement with UIATS management recommendations based on a 5-point Likert scale (5 indicating strong agreement). Interrater agreement (IRA) was assessed with standardized coefficients of dispersion (vr*) (vr* = 0 indicating excellent agreement and vr* = 1 indicating poor agreement). RESULTS The UIATS accounts for 29 key factors in UIA management. Agreement with UIATS (mean Likert scores) was 4.2 (95% confidence interval [CI] 4.1-4.3) per reviewer for both reviewer cohorts; agreement per case was 4.3 (95% CI 4.1-4.4) for panel members and 4.5 (95% CI 4.3-4.6) for external reviewers (p = 0.017). Mean Likert scores were 4.2 (95% CI 4.1-4.3) for interventional reviewers (n = 56) and 4.1 (95% CI 3.9-4.4) for noninterventional reviewers (n = 12) (p = 0.290). Overall IRA (vr*) for both cohorts was 0.026 (95% CI 0.019-0.033). CONCLUSIONS This novel UIA decision guidance study captures an excellent consensus among highly informed individuals on UIA management, irrespective of their underlying specialty. Clinicians can use the UIATS as a comprehensive mechanism for indicating how a large group of specialists might manage an individual patient with a UIA.

Nach der Arbeit [Illustration]

Jacob Plessner